计划生育专家之间的避孕风险事件:一个横截面研究
Taylor N Weckstein1, Rebecca G Simmons2, Jami Baayd2
1Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
大多数计划生育专家都经历过避孕风险事件,突出了预防怀孕的复杂性. 避孕方法的限制和个人偏好影响有效性,挑战对堕胎的简单观点的需要.
科学领域:
- 生殖健康 生殖健康
- 避孕研究研究 避孕研究
- 医疗教育 医学教育
背景情况:
- 支持限制堕胎的倡导者引用了避孕方法的进步,但有效使用需要生殖健康素养.
- 这项研究考察了计划生育专家中的避孕风险事件,这是一个具有高避孕素养潜力的人群.
- 避孕风险事件包括避孕失败,紧急避孕使用和未受保护或未受保护的性行为.
研究的目的:
- 量化计划生育专家经历的避孕风险事件.
- 评估这些专家的避孕史和偏好.
- 评估避孕的理想作用与生活经验之间的差距.
主要方法:
- 在计划生育专家专业组织的现任成员中进行了一项横截面研究.
- 包括标准包括自从医学培训开始就同意的阴茎-阴道性交和怀孕能力.
- 用描述性统计数据来分析数据;该研究是IRB豁免.
主要成果:
- 在229名受访者中,69%的受访者报告自从开始医学培训以来至少发生了一次避孕风险事件.
- 47%的受访者表示进行了无保护性交,35%的受访者使用紧急避孕措施,52%的受访者表示避孕措施失败.
- 受访者平均使用了3.7种方法,其中97%的人认为至少有一种方法是不可接受的.
结论:
- 大多数计划生育专家遇到避孕措施的风险事件,强调了一致和正确使用的挑战.
- 避孕方法的变化是频繁的,个人接受性限制了许多人的选择.
- 该研究表明,理想化避孕措施在减少堕胎需求中的作用的讨论过于简单,不反映现实世界的经验.
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